• D J Joo, K H Huh, Y Cho, J H Jeong, J Y Kim, H Ha, and Y S Kim.
• The Research Institute for Transplantation, Graduate Program of Nanoscience and Technology, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
• Transplant. Proc. 2010 Apr 1; 42 (3): 729-32.

BackgroundReactive oxygen species are believed to be responsible for organ injury after reperfusion. We evaluated serial changes in lipid peroxide (LPO) as an oxidative stress marker after kidney transplantation and investigated its effects on graft function.MethodsFifty-nine kidney transplant recipients were enrolled between September 2006 and March 2009. The control group consisted of kidney donors (n=40). Serum LPO concentrations were measured by a thiobarbituric acid reaction. The serum creatinine concentration and estimated glomerular filtration rate (eGFR) were used to evaluate graft function. Blood samples were obtained preoperatively, on postoperative day (POD) 5, and at 1 year posttransplantation. The median concentration of LPO on POD 5 was used as a cut-off.ResultsThe mean preoperative LPO concentration was greater than the control group. The mean LPO concentration on POD 5 was increased compared with the preoperative level. However, the mean LPO concentration at 1 year was significantly decreased compared with the preoperative day, but greater than the control group. On POD 5, the mean serum creatinine concentration in the low LPO group was lower than that in the high LPO group. The mean eGFR in the low LPO group was significantly higher than that in the high LPO group. There was no difference in mean serum creatinine concentrations and eGFR at 1 year between the groups.ConclusionOxidative stress showed a significant impact on graft function in the immediate posttransplant period.Copyright (c) 2010 Elsevier Inc. All rights reserved.

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